Document Detail

A comparative study of the long term results of root coverage with connective tissue graft or enamel matrix protein: 24-month results.
MedLine Citation:
PMID:  19300369     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The objective of this study was to compare the 24 month results of coronally advanced flap + enamel matrix derivates (EMD+CAF) and CAF+ connective tissue graft (CTG+CAF) in the treatment of Miller Class I recession defects. METHODS: Twelve patients with bilateral gingival recessions were treated with EMD+CAF or CTG+CAF. Vertical recession depth (VRD), keratinized tissue width (KTW), clinical attachment level (CAL), and clinical probing depth (CPD) were measured preoperatively, 1 and 2 years post surgery. A paired t-test and independent t-test were used to compare differences for the measured characters within and between groups, respectively. RESULTS: After 24 months, a significant decrease in VRD was observed in CAF + EMD (3.33+/- 0.30 mm) and CAF + CTG (4.5 +/- 0.28 mm) treated sites. There was also a significant increase in KTW (0.83+/- 0.23 mm versus 2.08+/- 0.14 mm in EMD+CAF and CTG+CAF sites, respectively). The gain in CAL was 3.54 +/- 0.38 mm and 4.45+/- 0.30 mm in the EMD+CAF and CTG+CAF groups, respectively. There were significant differences between the treatments for VRD, CAL, and KTW at the end of study. CONCLUSIONS: The CTG+CAF procedure seems to provide better long-term results than the EMD+CAF in obtaining root coverage, increasing the KTW and CAL gain.
Nader Abolfazli; Fariba Saleh-Saber; Amir Eskandari; Ardeshir Lafzi
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2009-06-01
Journal Detail:
Title:  Medicina oral, patología oral y cirugía bucal     Volume:  14     ISSN:  1698-6946     ISO Abbreviation:  Med Oral Patol Oral Cir Bucal     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-28     Completed Date:  2009-08-24     Revised Date:  2009-12-11    
Medline Journal Info:
Nlm Unique ID:  101231694     Medline TA:  Med Oral Patol Oral Cir Bucal     Country:  Spain    
Other Details:
Languages:  eng     Pagination:  E304-9     Citation Subset:  D; IM    
Department of periodontology, Tabriz university of medical sciences, Dental faculty, Tabriz, Iran.
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MeSH Terms
Connective Tissue / transplantation*
Dental Enamel Proteins*
Gingival Recession / therapy*
Middle Aged
Prospective Studies
Time Factors
Reg. No./Substance:
0/Dental Enamel Proteins; 0/enamel matrix proteins

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